Organization Active NPI

Mountain View Counseling, LLC

  • Clinical Social Worker
  • Woodland Park, CO
National Provider Identifier
1851942973
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOUNTAIN VIEW COUNSELING, LLC
Practice address
4Oo W. Midland Ave.
Suite 100H
Woodland Park, CO 80866-0830
Phone
(719) 325-9927
Fax
(719) 960-2764
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Fuller James, LCSWNPI 1720630130
Title
Owner
Phone
(719) 325-9927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4Oo W. Midland Ave.
Suite 100H
Woodland Park, CO 80866-0830

Mailing address

4Oo W. Midland Ave.
PO Box 830
Woodland Park, CO 80866-0830
Phone (719) 325-9927

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jenfullerjames@hushmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226001864 CO Part B Supplier - Clinic/Group Practice 2264869551 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Park, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1851942973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4OO W. MIDLAND AVE.",
            "address_2": "PO BOX 830",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808660830",
            "telephone_number": "719-325-9927",
            "fax_number": "719-960-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4OO W. MIDLAND AVE.",
            "address_2": "SUITE 100H",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808660830",
            "telephone_number": "719-325-9927",
            "fax_number": "719-960-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "FULLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-325-9927",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jenfullerjames@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "Hushmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4oo W. Midland Ave.",
            "address_2": "Suite 100H",
            "city": "Woodland Park",
            "state": "CO",
            "country_code": "US",
            "postal_code": "808660830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.